EP3397149A4 - Cartographie et traitement de tissu - Google Patents

Cartographie et traitement de tissu Download PDF

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Publication number
EP3397149A4
EP3397149A4 EP16882790.5A EP16882790A EP3397149A4 EP 3397149 A4 EP3397149 A4 EP 3397149A4 EP 16882790 A EP16882790 A EP 16882790A EP 3397149 A4 EP3397149 A4 EP 3397149A4
Authority
EP
European Patent Office
Prior art keywords
cartography
tissue
treatment
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP16882790.5A
Other languages
German (de)
English (en)
Other versions
EP3397149B1 (fr
EP3397149A1 (fr
Inventor
Brian SCHULER
David Bernstein
David G. Matsuura
Philip J. Simpson
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Biozonal Id LLC
Original Assignee
Schuler Scientific Solutions LLC
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Schuler Scientific Solutions LLC filed Critical Schuler Scientific Solutions LLC
Publication of EP3397149A1 publication Critical patent/EP3397149A1/fr
Publication of EP3397149A4 publication Critical patent/EP3397149A4/fr
Application granted granted Critical
Publication of EP3397149B1 publication Critical patent/EP3397149B1/fr
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25—Bioelectric electrodes therefor
    • A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/28—Bioelectric electrodes therefor specially adapted for particular uses for electrocardiography [ECG]
    • A61B5/283—Invasive
    • A61B5/287—Holders for multiple electrodes, e.g. electrode catheters for electrophysiological study [EPS]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852—Catheters
    • A61B5/6858—Catheters with a distal basket, e.g. expandable basket
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00041—Heating, e.g. defrosting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/00267—Expandable means emitting energy, e.g. by elements carried thereon having a basket shaped structure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00791—Temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B2018/0212—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument inserted into a body lumen, e.g. catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09—Guide wires

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Otolaryngology (AREA)
  • Cardiology (AREA)
  • Plasma & Fusion (AREA)
  • Physiology (AREA)
  • Surgical Instruments (AREA)
EP16882790.5A 2015-12-30 2016-12-30 Cartographie et traitement de tissu Active EP3397149B1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201562273268P 2015-12-30 2015-12-30
PCT/US2016/069610 WO2017117582A1 (fr) 2015-12-30 2016-12-30 Cartographie et traitement de tissu

Publications (3)

Publication Number Publication Date
EP3397149A1 EP3397149A1 (fr) 2018-11-07
EP3397149A4 true EP3397149A4 (fr) 2019-08-14
EP3397149B1 EP3397149B1 (fr) 2026-08-05

Family

ID=59225556

Family Applications (1)

Application Number Title Priority Date Filing Date
EP16882790.5A Active EP3397149B1 (fr) 2015-12-30 2016-12-30 Cartographie et traitement de tissu

Country Status (3)

Country Link
US (3) US11771491B2 (fr)
EP (1) EP3397149B1 (fr)
WO (1) WO2017117582A1 (fr)

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WO2008070189A2 (fr) 2006-12-06 2008-06-12 The Cleveland Clinic Foundation Procédé et système pour traiter une insuffisance cardiaque aiguë par neuromodulation
WO2016040038A1 (fr) 2014-09-08 2016-03-17 CARDIONOMIC, Inc. Procédés de neuromodulation électrique du cœur
US11771491B2 (en) 2015-12-30 2023-10-03 Schuler Scientific Solutions, Llc Tissue mapping and treatment
US12514632B2 (en) 2015-12-30 2026-01-06 Biozonal Id, Llc Tissue mapping and treatment
AU2017229496B2 (en) 2016-03-09 2022-03-31 CARDIONOMIC, Inc. Cardiac contractility neurostimulation systems and methods
WO2018064398A1 (fr) * 2016-09-28 2018-04-05 Project Moray, Inc. Procédés et dispositifs de diagnostic et/ou d'administration de traitement de l'arythmie, et systèmes robotisés pour d'autres utilisations
US11786705B2 (en) 2016-10-24 2023-10-17 St. Jude Medical, Cardiology Division, Inc. Catheter insertion devices
US11116450B2 (en) * 2017-03-09 2021-09-14 Biosense Webster (Israel) Ltd. Electrode assembly having spines with controlled flexibility
EP3606420B1 (fr) 2017-07-07 2023-05-24 St. Jude Medical, Cardiology Division, Inc. Cathéter de cartographie à électrodes haute densité en couches
WO2019055434A1 (fr) 2017-09-13 2019-03-21 CARDIONOMIC, Inc. Systèmes de neurostimulation et procédés pour affecter la contractilité cardiaque
CN111836579B (zh) 2018-03-13 2024-03-19 圣犹达医疗用品心脏病学部门有限公司 可变密度标测导管
WO2019195439A1 (fr) 2018-04-05 2019-10-10 St. Jude Medical, Cardiology Division, Inc. Cathéter de cartographie à électrodes haute densité
AU2019320750A1 (en) 2018-08-13 2021-04-08 CARDIONOMIC, Inc. Systems and methods for affecting cardiac contractility and/or relaxation
EP3790484B1 (fr) 2018-09-28 2025-04-30 St. Jude Medical, Cardiology Division, Inc. Ensembles électrodes de pointe de cathéter intravasculaire
CN113520582B (zh) * 2018-12-12 2022-10-04 上海魅丽纬叶医疗科技有限公司 具有形状稳定化设计的网管状支架结构的射频消融导管及其制造工艺
CN111513837B (zh) * 2019-02-03 2024-09-20 上海魅丽纬叶医疗科技有限公司 一种具有活动导丝功能的射频消融导管
JP2022531658A (ja) 2019-05-06 2022-07-08 カーディオノミック，インク． 電気神経調節中に生理学的信号をノイズ除去するためのシステムおよび方法
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US12295647B2 (en) * 2019-11-04 2025-05-13 Boston Scientific Scimed, Inc High density mapping catheter for cryoballoon ablation
EP4072456A4 (fr) * 2019-12-12 2023-12-20 Schuler Scientific Solutions, LLC Cartographie et traitement tissulaire
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WO2022076650A1 (fr) * 2020-10-07 2022-04-14 Northwestern University Intégration de systèmes de cartographie électrophysiologique avec électroporation synchronisée avec stimulation
CN112137712A (zh) * 2020-10-15 2020-12-29 山前（珠海）医疗科技有限公司 一种带加热功能的冷冻球囊导管
CN114681038B (zh) * 2020-12-31 2025-11-25 杭州德诺电生理医疗科技有限公司 消融装置以及消融系统
EP4294300A4 (fr) * 2021-02-17 2025-01-08 Medtronic Cryocath LP Méthode et appareil pour déterminer une dénervation bronchique
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US20250099169A1 (en) 2025-03-27
US12004805B2 (en) 2024-06-11
WO2017117582A1 (fr) 2017-07-06
US20230414278A1 (en) 2023-12-28
EP3397149B1 (fr) 2026-08-05
EP3397149A1 (fr) 2018-11-07
US11771491B2 (en) 2023-10-03
US20170189106A1 (en) 2017-07-06

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